| NPI | 1811309073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2014026215) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 14-02702) |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2023-07-17 |