| NPI | 1659247864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2025019259) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PR 003461) |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-10-14 |