| NPI | 1184085748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ID PTA-3647) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA P1 60434724) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-10 |