| NPI | 1316494255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA 61145197) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AZ 12533APTA) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2021-08-10 |