NPI | 1154866416 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 24573) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26244) |
Enumeration Date | 2016-12-22 |
Last Update Date | 2019-09-16 |