NPI | 1316178965 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30912) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT020134) |
Enumeration Date | 2009-07-30 |
Last Update Date | 2017-03-02 |