NPI | 1104295617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PTT30799) |
Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: FL PTT30799) |
Enumeration Date | 2015-09-15 |
Last Update Date | 2016-01-29 |