| NPI | 1558021550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 4401) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A5616) |
| Enumeration Date | 2021-12-19 |
| Last Update Date | 2022-04-30 |