| NPI | 1730572231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA AT10705) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE1003054) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |