| NPI | 1629841093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160543664) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ID Pta-8340) |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |