| NPI | 1982449989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA CP037122A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA P160787751) |
| 225200000X Physical Therapy Assistant (Licence: NH CP054826) | |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2026-04-21 |