| NPI | 1093919110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OK 1975) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2051150) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2010-11-30 |