NPI | 1235788985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305213181) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2019-09-05 |
Last Update Date | 2023-08-07 |