| NPI | 1306429170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA 61147101) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2021-05-03 |