| NPI | 1427419118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NE 1446) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 14-02926) |
| 225200000X Physical Therapy Assistant (Licence: IA 081878) | |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |