| NPI | 1962593863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160038807) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2022-06-17 |