NPI | 1548884380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-11311) |
Additional Taxonomies | 225200000X Physical Therapy Assistant |
Enumeration Date | 2020-06-06 |
Last Update Date | 2024-09-16 |