| NPI | 1679365712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2104856) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NM PTA1449) |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-11-11 |