NPI | 1053172726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0016597) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PTL27485) |
225100000X Physical Therapist (Licence: PA PT032115) | |
Enumeration Date | 2024-01-19 |
Last Update Date | 2024-06-26 |