| NPI | 1841964145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KY A04234) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06006260A) |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2021-08-02 |