NPI | 1215278452 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 16241) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT020066) |
Enumeration Date | 2013-03-13 |
Last Update Date | 2016-07-25 |