NPI | 1255786174 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT016334) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 30013) |
Enumeration Date | 2016-04-28 |
Last Update Date | 2023-02-07 |