NPI | 1548702095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502005102) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2016-11-15 |
Last Update Date | 2019-10-03 |