NPI | 1316138365 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2007023414) |
Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: MO 2007023414) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2009-08-24 |