| NPI | 1982178026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN PTA0000006474) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AL PTA8415) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |