| NPI | 1477092104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160705320) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MI 5502004701) |
| 225200000X Physical Therapy Assistant (Licence: CO PTA.0014044) | |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |