NPI | 1306838297 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 00542) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 02278) |
Enumeration Date | 2005-08-17 |
Last Update Date | 2009-06-15 |