| NPI | 1841751328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2169857) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2023-06-07 |