NPI | 1073236063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501302141) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2022-09-23 |
Last Update Date | 2024-08-01 |