| NPI | 1396459517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-04076) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS T-05877) |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-02-13 |