| NPI | 1114360708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OK 2229) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR 2660) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2013-04-12 |