| NPI | 1902232382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: DE J2-0001153) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2099438) |
| 225200000X Physical Therapy Assistant (Licence: MA 8851) | |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2024-01-08 |