| NPI | 1922523851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 47929) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 09466) |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2017-08-11 |