| NPI | 1811432040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA003158) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 11151) |
| Enumeration Date | 2016-12-26 |
| Last Update Date | 2016-12-26 |