| NPI | 1801366513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2089136) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2023-07-31 |