| NPI | 1932796521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA30698) |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2021-08-30 |