NPI | 1841506037 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 00988) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NE 05070219) |
Enumeration Date | 2010-08-25 |
Last Update Date | 2010-08-25 |