| NPI | 1427407402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 49388) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 3377) |
| 225200000X Physical Therapy Assistant (Licence: NM PTA1463) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2018-07-06 |