| NPI | 1497085724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-02112) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2009028448) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2011-12-30 |