| NPI | 1629843297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160521292) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA 60521292) |
| Enumeration Date | 2023-11-23 |
| Last Update Date | 2023-11-23 |