NPI | 1013395631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC PT13861) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: NC PT13861) |
Enumeration Date | 2015-05-14 |
Last Update Date | 2015-05-14 |