| NPI | 1740981190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA32532) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL PTA32532) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |