| NPI | 1497339360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502000303) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-08-20 |