| NPI | 1376862300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 115996) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 14-00216) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2010-06-01 |