| NPI | 1538551577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-04214) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA PTA003411) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2025-03-11 |