| NPI | 1114207966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA 61232304) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA AT9168) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2024-09-25 |