NPI | 1003219973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 004861) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NE 1107) |
Enumeration Date | 2014-10-06 |
Last Update Date | 2014-10-06 |