| NPI | 1871221622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA CP014669T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 2525) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-09-20 |