NPI | 1063086072 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216096) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2021-05-14 |
Last Update Date | 2023-09-25 |