NPI | 1962052985 |
---|---|
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: MD A3558) |
Enumeration Date | 2019-09-12 |
Last Update Date | 2020-04-09 |