| NPI | 1316316656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160592333) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 10974) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |