| NPI | 1578156386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NE 1876) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NE 1867) |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2021-02-16 |