| NPI | 1477977882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306000697) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VT 0410000372) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2024-06-18 |