| NPI | 1871210179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TE1003440) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CT 2283) |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2023-04-11 |