NPI | 1245425784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 16302) |
Additional Taxonomies | 174400000X Specialist (Licence: MD 16302) |
Enumeration Date | 2007-09-07 |
Last Update Date | 2007-09-10 |