| NPI | 1366103541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2022013449) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 14-03613) |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2022-04-15 |