| NPI | 1487188439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC A5801) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MI 5502005525) |
| 225200000X Physical Therapy Assistant (Licence: OH 09604) | |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2024-02-08 |