| NPI | 1275260895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2022036840) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 14-03988) |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2022-09-14 |