| NPI | 1023567476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MN A1875) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA P1 60687973) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |