| NPI | 1346580859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA PTA49265) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA P1 60324472) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2020-07-13 |