| NPI | 1851142202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 7253) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MS CP011426A) |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2025-01-30 |