| NPI | 1982169132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AR 4291) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MT 15079) |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2024-08-27 |