| NPI | 1205343134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AK 126334) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA 60760251) |
| Enumeration Date | 2017-12-30 |
| Last Update Date | 2017-12-30 |