| NPI | 1154076354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 51944) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 9913) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2024-11-04 |