NPI | 1104931690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1078095) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 8882) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2012-07-07 |