NPI | 1003811142 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 15658) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305002792) |
225100000X Physical Therapist (Licence: DC PT419) | |
Enumeration Date | 2005-06-16 |
Last Update Date | 2007-07-08 |