| NPI | 1326241951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 1400759) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA PTA001204) |
| Enumeration Date | 2007-06-10 |
| Last Update Date | 2014-05-28 |