| NPI | 1922749845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC CPC101967A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA PTA004118) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-05-10 |