NPI | 1194273219 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT4537) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 13295-24) |
Enumeration Date | 2016-09-18 |
Last Update Date | 2020-07-29 |