| NPI | 1801920426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 878A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ND 878) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2018-12-11 |