| NPI | 1356658876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-01879) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OK 1260) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2018-02-20 |