NPI | 1376956318 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A4337) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MD A00208) |
Enumeration Date | 2014-06-07 |
Last Update Date | 2021-04-15 |