| NPI | 1235229394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA 60046075) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2024-08-22 |