| NPI | 1851587737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2007018940) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 14-01890) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |