NPI | 1275185712 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 190976) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P18809) |
225100000X Physical Therapist (Licence: CO PTL.0017646) | |
225100000X Physical Therapist (Licence: CA 299988) | |
Enumeration Date | 2019-07-15 |
Last Update Date | 2022-03-30 |