| NPI | 1790456994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD CP031909A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC A6962) |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2024-06-04 |