| NPI | 1952910234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 53781) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06006130A) |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2025-07-01 |