NPI | 1023728193 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29980) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2022025925) |
225100000X Physical Therapist (Licence: CA 303381) | |
225100000X Physical Therapist (Licence: KS 11-07076) | |
Enumeration Date | 2022-11-30 |
Last Update Date | 2024-06-12 |