| NPI | 1124519434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-03173) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2059859) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |