| NPI | 1639696347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NV A-0962) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 48459) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2019-01-29 |