| NPI | 1447795059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P1 60553350) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 8506) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |