| NPI | 1861120701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AZ 008923) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: HI PTA-636-0) |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-08-09 |