| NPI | 1629865688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160999117) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NH CP043472A) |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2025-04-24 |