| NPI | 1851557961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2008025906) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 14-02025) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2010-11-05 |