| NPI | 1265833537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ID PTA-2465) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA P1 60047585) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |