| NPI | 1194941328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OK 1929) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2007022855) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2024-08-19 |