| NPI | 1891933065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2064420) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NH CP054272A) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2026-04-25 |