| NPI | 1427479294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-02618) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ND 1088) |
| Enumeration Date | 2013-12-22 |
| Last Update Date | 2013-12-22 |