| NPI | 1851093108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AK 141627) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 52118) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |