| NPI | 1831677400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2086531) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA PTA5622) |
| Enumeration Date | 2018-08-05 |
| Last Update Date | 2023-02-08 |