| NPI | 1588071997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2161762) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA24970) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2026-03-16 |