| NPI | 1801331780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2175395) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MS PTA6022) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2024-03-22 |