NPI | 1063885259 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT4458) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 30429) |
Enumeration Date | 2015-11-10 |
Last Update Date | 2019-09-13 |