| NPI | 1073360335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160038835) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 8243) |
| 225200000X Physical Therapy Assistant (Licence: NM PTA1981) | |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-03 |