NPI | 1073162939 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501019305) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2019-09-04 |
Last Update Date | 2023-01-05 |