NPI | 1053854612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 65235) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 292360) |
Enumeration Date | 2016-11-29 |
Last Update Date | 2024-09-10 |