| NPI | 1609515592 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2161725) | 
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 2161725) | 
| Enumeration Date | 2022-05-31 | 
| Last Update Date | 2025-08-12 |