NPI | 1104904986 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 4596) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT004261) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2021-01-22 |