NPI | 1215365168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-3289) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 8555982-2401) |
Enumeration Date | 2013-10-30 |
Last Update Date | 2013-10-30 |