| NPI | 1396000436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH 06471) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KY A02264) |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2012-07-04 |