| NPI | 1679262521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 06005959A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KY CP021517A) |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2023-05-05 |