NPI | 1174047708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008282) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501017648) |
Enumeration Date | 2017-07-26 |
Last Update Date | 2021-09-22 |