| NPI | 1396128740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA PTA48929) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AZ 0284A) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2019-06-11 |