| NPI | 1629449491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: DC PTA000204) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL 25998) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2021-09-02 |