| NPI | 1811663503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA CP007459A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA PTA004060) |
| 225200000X Physical Therapy Assistant (Licence: CA PTA49900) | |
| Enumeration Date | 2021-08-21 |
| Last Update Date | 2021-08-21 |