NPI | 1114295748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-2941) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: ID PT-2941) |
Enumeration Date | 2011-12-10 |
Last Update Date | 2024-03-26 |