NPI | 1154915601 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12463) |
Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer |
225100000X Physical Therapist | |
225100000X Physical Therapist (Licence: NC 23328) | |
Enumeration Date | 2021-02-25 |
Last Update Date | 2024-08-15 |