NPI | 1255755526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 39889) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1233286) |
Enumeration Date | 2014-02-07 |
Last Update Date | 2024-02-14 |