| NPI | 1346483823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OK 1436) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 1402029) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2015-08-11 |