NPI | 1215477690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1285333) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 041051) |
Enumeration Date | 2017-03-03 |
Last Update Date | 2021-10-13 |