NPI | 1811315708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA.08050) |
Enumeration Date | 2014-03-29 |
Last Update Date | 2024-02-14 |