| NPI | 1144436056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 117343) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 14-00155) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |