| NPI | 1669348405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OR CP050381A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306606388) |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |