NPI | 1164871125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 22306) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: ME 4146) |
Enumeration Date | 2016-06-09 |
Last Update Date | 2016-06-09 |