NPI | 1073058566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1347172) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01668100) |
225100000X Physical Therapist | |
Enumeration Date | 2016-12-20 |
Last Update Date | 2024-04-09 |