| NPI | 1659512374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 8311) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL pta 21117) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-03-09 |