NPI | 1083005862 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2014041469) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 14-02808) |
Enumeration Date | 2015-02-14 |
Last Update Date | 2015-02-14 |