| NPI | 1750808010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC A7508) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 9382) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2021-06-01 |