| NPI | 1881105831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306606150) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC A5041) |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2022-12-09 |