| NPI | 1538621222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC A5127) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: NC A5127) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |