NPI | 1215636642 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29879) |
Additional Taxonomies | 225100000X Physical Therapist |
225100000X Physical Therapist (Licence: DE J1-0014668) | |
Enumeration Date | 2023-02-24 |
Last Update Date | 2024-05-14 |