| NPI | 1831630227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A4729) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NM PTA1983) |
| 225200000X Physical Therapy Assistant (Licence: WA P161429707) | |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2023-12-12 |