| NPI | 1962946913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-02283) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2016015684) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |