| NPI | 1932780418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A5509) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306605597) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-04-28 |