| NPI | 1376205823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 225200000X Physical Therapy Assistant (Licence: MD A5698) | |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2024-09-30 |