| NPI | 1598146177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-14083) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC 5119) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2024-03-21 |