| NPI | 1609052216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 4921) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2037968) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2024-10-23 |