NPI | 1316374879 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305208234) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24731) |
Enumeration Date | 2013-09-30 |
Last Update Date | 2019-08-21 |