NPI | 1316487457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60728384) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0014255) |
225100000X Physical Therapist (Licence: AK 117153) | |
Enumeration Date | 2017-03-07 |
Last Update Date | 2023-11-01 |