NPI | 1043726839 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3751) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
225100000X Physical Therapist (Licence: KS 1106349) | |
Enumeration Date | 2017-12-16 |
Last Update Date | 2024-05-25 |