NPI | 1013312362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-02793) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 14-02793) |
Enumeration Date | 2014-10-29 |
Last Update Date | 2025-07-31 |