NPI | 1467995373 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306605073) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: PA TE011235) |
Enumeration Date | 2016-11-24 |
Last Update Date | 2020-09-21 |