| NPI | 1790145373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 1401998) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CO 0012705) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |