NPI | 1215681259 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT38333) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT38333) |
Enumeration Date | 2022-02-08 |
Last Update Date | 2023-05-19 |