NPI | 1124577671 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 12526) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501017676) |
Enumeration Date | 2016-09-26 |
Last Update Date | 2016-09-26 |