| NPI | 1639484629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160545278) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 739696-8019) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2024-09-25 |