| NPI | 1972991487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 8875) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 03425) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |