NPI | 1225185366 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 2093) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 2093) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2014-08-01 |