| NPI | 1629355318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 29964) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA AT 9119) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2019-12-31 |