NPI | 1104028372 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-013368) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 22238) |
208100000X Physical Medicine & Rehabilitation (Licence: AZ LPT-013368) | |
Enumeration Date | 2007-06-01 |
Last Update Date | 2024-02-07 |