NPI | 1083198618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NM PT4531) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0015925) |
Enumeration Date | 2018-09-19 |
Last Update Date | 2018-09-19 |