| NPI | 1669699617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 20436) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 3132) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2025-09-11 |