| NPI | 1730329061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A3373) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306602647) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2024-01-10 |