NPI | 1346580016 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305205230) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 31933) |
Enumeration Date | 2013-02-18 |
Last Update Date | 2018-09-28 |