| NPI | 1033840350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AK 191274) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA 60975822) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2022-06-17 |