| NPI | 1700016599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160380414) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60016944) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2024-02-01 |