NPI | 1457710402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502008586) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2087103) |
Enumeration Date | 2016-02-18 |
Last Update Date | 2024-05-30 |