| NPI | 1699217802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA004101) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2133652) |
| 225200000X Physical Therapy Assistant (Licence: AL PTA8739) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2019-02-22 |