NPI | 1124566468 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 15274) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210888) |
Enumeration Date | 2017-02-07 |
Last Update Date | 2024-06-10 |