NPI | 1033203583 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT32974) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 18364) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2024-09-18 |