| NPI | 1891689592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI006099) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 10358) |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2025-06-06 |