| NPI | 1356608608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA PTA8651) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NV A-0561) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2019-03-06 |