NPI | 1275057283 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 12198) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 293151) |
Enumeration Date | 2017-08-01 |
Last Update Date | 2021-06-30 |