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 |