| NPI | 1770843492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 1402212) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2005037953) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |