| NPI | 1093446593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OR 10067) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 50855) |
| 225200000X Physical Therapy Assistant (Licence: WA P161307132) | |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2022-06-23 |