NPI | 1154529634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 28732) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 2782) |
225100000X Physical Therapist (Licence: CO 9639) | |
Enumeration Date | 2007-07-06 |
Last Update Date | 2023-02-09 |