| NPI | 1528507423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160468915) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60731707) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2023-03-10 |