NPI | 1225485956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501017959) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 040.0119199) |
Enumeration Date | 2016-05-23 |
Last Update Date | 2019-06-27 |