| NPI | 1861845752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AZ PTA-014455) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA 25775) |
| 225200000X Physical Therapy Assistant (Licence: AK 107412) | |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2022-04-01 |