NPI | 1366680316 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1188573) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT019500) |
Enumeration Date | 2009-01-29 |
Last Update Date | 2009-07-31 |