| NPI | 1215441977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160480023) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 09155) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |