NPI | 1003196718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 2157) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: ID 2759) |
225100000X Physical Therapist (Licence: SD 1544) | |
Enumeration Date | 2011-08-25 |
Last Update Date | 2011-08-25 |