NPI | 1417493727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OR 09433) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WY 0824) |
Enumeration Date | 2017-01-10 |
Last Update Date | 2017-01-10 |