| NPI | 1477287704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 4638) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: SC 4638) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2024-10-25 |