NPI | 1164427720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 18306) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 870153) |
Enumeration Date | 2005-06-20 |
Last Update Date | 2014-07-02 |