| NPI | 1679237101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2147128) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2021-10-31 |
| Last Update Date | 2021-11-02 |