NPI | 1750420220 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306601404) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC r 83691) |
225200000X Physical Therapy Assistant (Licence: SC 1610) | |
Enumeration Date | 2007-02-05 |
Last Update Date | 2025-09-11 |