| NPI | 1750107215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 126288) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NE CP033632A) |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |