| NPI | 1003281676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 48421) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2106715) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2022-04-01 |