| NPI | 1154811370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 48890) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 009062) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |