| NPI | 1861776916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160071457) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 9554) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |