| NPI | 1023700101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 1404108) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OK 3126) |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-06-19 |