| NPI | 1659464980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 485) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 11165) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2021-02-24 |