| NPI | 1548704091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-03133) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 14-02351) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2025-09-24 |