NPI | 1275189953 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 148357) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 11676) |
Enumeration Date | 2019-08-17 |
Last Update Date | 2023-02-08 |