NPI | 1063930212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013189) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT32911) |
Enumeration Date | 2017-09-07 |
Last Update Date | 2019-04-09 |