| NPI | 1679136097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 3910) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306000845) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2025-04-16 |