| NPI | 1851950992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 52553) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL 27662) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2024-01-19 |