| NPI | 1073050019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-03058) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CO 0013542) |
| Enumeration Date | 2017-01-29 |
| Last Update Date | 2017-01-29 |