| NPI | 1124050935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AR PTA 1543) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OK 1133) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-09-06 |