| NPI | 1750420220 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306601404) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC r 83691) | 
| 225200000X Physical Therapy Assistant (Licence: SC 1610) | |
| Enumeration Date | 2007-02-05 | 
| Last Update Date | 2025-09-11 |