| NPI | 1659852275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 1402994) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2017043587) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |