| NPI | 1023259017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160045839) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 8702) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2012-05-30 |