NPI | 1255498929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT008929) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0011938) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2015-06-15 |