| NPI | 1821401175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P1 60430818) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 14-02267) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |