NPI | 1255887998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 63972) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT025430) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2022-10-12 |