| NPI | 1982150199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA A6018) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC A6018) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2024-06-11 |