| NPI | 1639488737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-01899) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2010019648) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |