| NPI | 1518799949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A3836) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WV 001774) |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-08-15 |