| NPI | 1023345907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-01969) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2009033310) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2011-01-24 |