| NPI | 1154065944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160467974) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA 60467974) |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-04-26 |