NPI | 1184070997 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2167050) |
225200000X Physical Therapy Assistant (Licence: FL 26913) | |
Enumeration Date | 2016-05-11 |
Last Update Date | 2022-01-12 |