| NPI | 1841037322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN CP032660A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KY A04597) |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-11 |