| NPI | 1023522778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WY 0968) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 14-03300) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2021-09-16 |