| NPI | 1902184427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA AT9674) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MN A1465) |
| 225200000X Physical Therapy Assistant (Licence: OR 08744) | |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2013-08-15 |