| NPI | 1942952007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA002577) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA29717) |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-01-20 |