| NPI | 1215069216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-00733) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2003002972) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |