NPI | 1053729608 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 4022) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-7569) |
Enumeration Date | 2014-07-28 |
Last Update Date | 2015-04-22 |