| NPI | 1861169344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160761729) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA 160761729) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2021-08-24 |