| NPI | 1750555173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA AT9461) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA21166) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2011-06-07 |