NPI | 1023654423 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 61285748) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 044893) |
Enumeration Date | 2019-11-20 |
Last Update Date | 2022-07-18 |