| NPI | 1952957565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 06006122A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160.008557) |
| Enumeration Date | 2019-08-11 |
| Last Update Date | 2022-07-11 |