NPI | 1164035911 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WI 3087-19) |
Additional Taxonomies | 225200000X Physical Therapy Assistant |
Enumeration Date | 2020-08-30 |
Last Update Date | 2020-09-10 |