NPI | 1083140107 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040.0127755) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0014530) |
Enumeration Date | 2017-05-10 |
Last Update Date | 2017-05-10 |