NPI | 1255891776 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10279) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT34459) |
Enumeration Date | 2019-03-21 |
Last Update Date | 2024-03-12 |