| NPI | 1508026584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160031667) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2012-07-11 |