NPI | 1083037824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT871536) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208460) |
225100000X Physical Therapist (Licence: NJ 40QA01404700) | |
Enumeration Date | 2014-01-30 |
Last Update Date | 2016-04-18 |