NPI | 1033629639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014490) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23275) |
Enumeration Date | 2017-10-09 |
Last Update Date | 2020-02-28 |