NPI | 1053065532 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2022004168) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
Enumeration Date | 2022-02-04 |
Last Update Date | 2024-05-22 |