NPI | 1053966267 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-32110) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60970219) |
Enumeration Date | 2019-08-05 |
Last Update Date | 2022-03-29 |