| NPI | 1962870956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ID PTA-4248) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA P1 60560540) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |