| NPI | 1902358419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 52424) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MT PTP-PTA-Lic-9461) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2023-03-08 |