| NPI | 1982269528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA26621) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 009107) |
| 225200000X Physical Therapy Assistant (Licence: PA TE1004048) | |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |