NPI | 1023556727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501016789) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60713599) |
Enumeration Date | 2017-02-02 |
Last Update Date | 2022-07-22 |