| NPI | 1649047598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC A6405) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 3684) |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2024-12-16 |