| NPI | 1790416741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI005499) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 51608) |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2023-03-09 |