| NPI | 1114372042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160119189) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: UT 76095552402) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |