| NPI | 1255645586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-01422) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NE 485) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-09-22 |