| NPI | 1437371390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160500560) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WI 248-019) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2014-11-04 |