NPI | 1205877511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305203604) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 11618) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2022-10-26 |