NPI | 1124161617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 29743) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501010935) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2007-07-08 |