| NPI | 1851174437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NV A-1536) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AZ 014078) |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-16 |