NPI | 1063866994 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0003478) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305209051) |
Enumeration Date | 2016-04-18 |
Last Update Date | 2016-04-18 |