| NPI | 1639950512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 50614) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TN 5830) |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-10-09 |