NPI | 1093596314 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 1094191) |
Enumeration Date | 2023-10-12 |
Last Update Date | 2025-03-12 |