| NPI | 1871169052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC A5268) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC A5268) |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2024-02-28 |