| NPI | 1174782403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA at2305) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA P1 60047590) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2013-11-15 |