NPI | 1104234988 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 1884) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 10593) |
Enumeration Date | 2014-07-24 |
Last Update Date | 2024-01-03 |