| NPI | 1780818732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AZ 007487) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AZ 7487A) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2023-09-29 |