NPI | 1346958774 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501303443) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 049641-01) |
Enumeration Date | 2022-11-15 |
Last Update Date | 2024-08-23 |