| NPI | 1609558089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A5695) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA CP024362A) |
| 225200000X Physical Therapy Assistant (Licence: NC CP022914A) | |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2024-01-19 |