| NPI | 1013488527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA pta49220) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 09570) |
| 225200000X Physical Therapy Assistant (Licence: WA 60734974) | |
| Enumeration Date | 2018-12-09 |
| Last Update Date | 2018-12-09 |