| NPI | 1184012908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2013006327) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 14-02470) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2014-12-31 |