| NPI | 1568175362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AZ CP017211A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: UT 116194622402) |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2022-12-27 |