NPI | 1265645741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1124352) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 25686) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2024-03-08 |