| NPI | 1215342613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 50261) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 225200000X Physical Therapy Assistant (Licence: TX 2145092) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2019-09-27 |