| NPI | 1891272274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-01991) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 1401991) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |