NPI | 1154643054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 29218) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 36410) |
Enumeration Date | 2010-02-18 |
Last Update Date | 2014-10-13 |