NPI | 1053983684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 15459-24) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0017781) |
Enumeration Date | 2021-07-13 |
Last Update Date | 2024-01-03 |