| NPI | 1760887921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 25048) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTO25048) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2024-10-07 |