| NPI | 1740006345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 33829) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR 4975) |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2024-11-27 |