NPI | 1205406188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WY 2079) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 2494) |
Enumeration Date | 2021-07-01 |
Last Update Date | 2024-01-29 |