| NPI | 1710452651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-03379) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2018029310) |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2024-03-08 |