| NPI | 1821635699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TE012157) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC A6917) |
| Enumeration Date | 2019-11-29 |
| Last Update Date | 2019-11-29 |