NPI | 1003498700 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KY A04160) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KY A04160) |
Enumeration Date | 2021-04-22 |
Last Update Date | 2021-04-23 |