| NPI | 1104058965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 9059) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL 20971) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2009-08-12 |