NPI | 1205553708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA CP029337A) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A5876) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-10-25 |
Last Update Date | 2024-03-08 |