| NPI | 1548829351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 010390) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2145344) |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |