NPI | 1053892364 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0015821) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23939) |
225100000X Physical Therapist (Licence: VA 2305212285) | |
Enumeration Date | 2018-08-24 |
Last Update Date | 2024-02-21 |