NPI | 1255613501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT871268) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: DC PT871268) |
Enumeration Date | 2011-09-13 |
Last Update Date | 2018-08-16 |