| NPI | 1790085587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160176653) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 08663) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2024-12-15 |