| NPI | 1316076557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 1401544) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2005026634) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |