NPI | 1316027055 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 20354) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17163) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2021-04-06 |