| NPI | 1790161834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 06006280A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160.007096) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2024-11-12 |