NPI | 1235786088 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 003757) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA 026115) |
225100000X Physical Therapist (Licence: CA 295590) | |
Enumeration Date | 2019-08-26 |
Last Update Date | 2019-08-26 |