| NPI | 1508124199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OR 8785) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ID PTA-2842) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2023-05-01 |