| NPI | 1578718300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160470360) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2014-07-17 |