NPI | 1114365707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0012185) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 8539716-2401) |
Enumeration Date | 2013-06-05 |
Last Update Date | 2015-07-16 |