| NPI | 1942626288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 174400000X Specialist (Licence: FL 174400000x) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2024-09-04 |