| NPI | 1912209891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA AT-8979) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NV A-0435) |
| 225200000X Physical Therapy Assistant (Licence: WY PTA-0639) | |
| Enumeration Date | 2010-11-25 |
| Last Update Date | 2010-11-25 |