| NPI | 1043405616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160046210) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 862) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2009-12-21 |