| NPI | 1316296510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2012023507) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 5669) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2012-09-04 |