| NPI | 1407120454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-01316) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: KS 62-1626490) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2020-09-01 |