| NPI | 1528680428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA CP002657A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CO PTA.0014659) |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |