| NPI | 1427395623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160252985) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AZ 9420A) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-01-08 |