| NPI | 1245439934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA AT6798) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WY PTA-481) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |