| NPI | 1760604482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2007008845) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 14-01688) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2010-11-03 |