| NPI | 1700298965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA AT 10192) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A 3354) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |