| NPI | 1356667604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC 4292) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KY A02428) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2010-04-12 |