| NPI | 1750003158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 087138) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 08288) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-13 |