| NPI | 1295137339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 9126) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 8099) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |