NPI | 1164511663 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD PT #16204) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD PT16205) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2023-12-27 |