NPI | 1306518725 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60905066) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 11782) |
225100000X Physical Therapist (Licence: OR 62894) | |
Enumeration Date | 2021-10-04 |
Last Update Date | 2021-10-04 |