NPI | 1508124199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OR 8785) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ID PTA-2842) |
Enumeration Date | 2012-05-02 |
Last Update Date | 2023-05-01 |