NPI | 1174892954 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 415300056) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004870) |
Enumeration Date | 2011-12-22 |
Last Update Date | 2022-06-09 |