| NPI | 1518440650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502004874) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA PTA48991) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |