| NPI | 1669761854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2076251) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE009202) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2022-07-21 |