| NPI | 1770836611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-02077) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2009038028) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |