| NPI | 1205728656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-04328) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS T-06360) |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-08-11 |