NPI | 1114042397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TE1000180) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WV 916) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2009-06-15 |