| NPI | 1811528391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AK 106582) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2021-10-25 |