| NPI | 1942829205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ID PTA-6180) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: UT 11433285-2402) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |