| NPI | 1447337977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KY PTAA01860) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA05427) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |