| NPI | 1083991673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA PTA 10415) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NV A-0730) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2016-08-16 |