| NPI | 1518657477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: DC PTA2000027) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KY A04332) |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2023-05-12 |