| NPI | 1841865862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 31110) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA31110) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-05-21 |