NPI | 1003298621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT34307) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 9965) |
225100000X Physical Therapist (Licence: IN 05011744A) | |
Enumeration Date | 2015-06-19 |
Last Update Date | 2019-01-14 |