| NPI | 1689258675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA 60567605) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2021-05-06 |