| NPI | 1881070308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2135060) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL 25852) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2024-04-08 |