| NPI | 1417307166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502000662) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 47999) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |