NPI | 1104062637 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305205763) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009848) |
Enumeration Date | 2009-01-06 |
Last Update Date | 2019-02-11 |