| NPI | 1861619801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2060503) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2022-03-31 |