| NPI | 1497515357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160992410) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA NC60191121) |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-03-19 |