| NPI | 1932571973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P1 60045625) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MN A1783) |
| 225700000X Massage Therapist (Licence: WA MA 60184333) | |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |