| NPI | 1518840040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ID PTA-7017) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MT PTP-PTA-LIC-32533) |
| Enumeration Date | 2025-07-30 |
| Last Update Date | 2025-07-30 |