| NPI | 1447605977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 8804) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NV A-0512) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2018-03-17 |