| NPI | 1902386915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2141940) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: LA A10065R) |
| Enumeration Date | 2018-08-19 |
| Last Update Date | 2026-02-03 |