| NPI | 1023319175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160657620) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: WA MA60180214) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2016-09-08 |