| NPI | 1326576893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 10348) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NV A-0721) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2018-03-17 |