| NPI | 1578047890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-03174) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2016002049) |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2023-12-08 |