| NPI | 1801100235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-02001) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NE 879) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-09-22 |