NPI | 1154561785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1303240) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 35267) |
Enumeration Date | 2009-02-23 |
Last Update Date | 2020-01-28 |