NPI | 1073862074 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PG215529) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 6987) |
Enumeration Date | 2012-09-05 |
Last Update Date | 2023-05-16 |