| NPI | 1598423873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306605560) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 2176) |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2021-12-03 |