NPI | 1346677739 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7228) |
225100000X Physical Therapist (Licence: LA 09606R) | |
225100000X Physical Therapist (Licence: TX 1259760) | |
Enumeration Date | 2013-10-01 |
Last Update Date | 2018-07-30 |