| NPI | 1457096711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-03137) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2022-05-02 |