| NPI | 1982580197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MS 7886) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 7886) |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-18 |