| NPI | 1871880401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC A5558) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA22692) |
| Enumeration Date | 2011-07-04 |
| Last Update Date | 2022-11-15 |