| NPI | 1861154056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC A8579) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 9706) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2025-07-10 |