| NPI | 1447642640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS KS14-02633) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2014041498) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2024-04-29 |