| NPI | 1568005973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI005959) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE012205) |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2021-04-28 |