| NPI | 1841959574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC A3852) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA CP007854A) |
| 225200000X Physical Therapy Assistant (Licence: NC CP017914A) | |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2025-07-15 |