| NPI | 1801551239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306606019) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE012813) |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2021-11-01 |