| NPI | 1871243360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2167068) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 013072) |
| Enumeration Date | 2022-03-27 |
| Last Update Date | 2022-03-27 |