NPI | 1326302811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 33058) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 3714) |
225100000X Physical Therapist (Licence: MD 23063) | |
Enumeration Date | 2012-06-28 |
Last Update Date | 2019-02-06 |