| NPI | 1750610077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-01476) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2000145933) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2011-12-30 |