| NPI | 1225687346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-03368) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2018032378) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-11-07 |