| NPI | 1922495126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OR 09161) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA P160548474) |
| Enumeration Date | 2015-04-25 |
| Last Update Date | 2015-04-25 |