| NPI | 1720537509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VT 041.0133901) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CO 0013749) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2021-07-01 |