NPI | 1215320783 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: MI 5501008847) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501008847) |
Enumeration Date | 2015-03-09 |
Last Update Date | 2018-05-31 |