| NPI | 1124424528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-02789) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2014024588) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |