NPI | 1235411380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 4651) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 2330) |
Enumeration Date | 2011-09-14 |
Last Update Date | 2011-09-14 |