| NPI | 1225206196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA PTA8510) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 1811) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2017-02-16 |