| NPI | 1497483184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA 000581) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA 000582) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-08-10 |