| NPI | 1821664970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC A6760) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA PTA004373) |
| Enumeration Date | 2021-05-31 |
| Last Update Date | 2021-05-31 |