| NPI | 1740634633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA p160631747) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2055353) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |