| NPI | 1811644404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX CP004753A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: UT 10859913-2402) |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2023-12-05 |