NPI | 1326486747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013821) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 9716) |
Enumeration Date | 2013-06-07 |
Last Update Date | 2019-01-10 |