| NPI | 1689284150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TE1002109) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TE) |
| Enumeration Date | 2020-08-08 |
| Last Update Date | 2020-08-08 |