| NPI | 1902670805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH 07238) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WV 002060) |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2023-11-10 |