| NPI | 1083005862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2014041469) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 14-02808) |
| Enumeration Date | 2015-02-14 |
| Last Update Date | 2015-02-14 |