| NPI | 1730714502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2152689) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR PTA-4512) |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |