| NPI | 1972274389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306603135) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2366015) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2022-04-22 |