| NPI | 1336619444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 51412) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL 28939) |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2023-10-23 |