| NPI | 1285933150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA AT8471) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN232432) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2011-03-18 |