NPI | 1053785204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30641) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: FL PT30641) |
Enumeration Date | 2015-11-25 |
Last Update Date | 2015-11-25 |