NPI | 1366911208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501009484) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2018-11-21 |
Last Update Date | 2018-11-21 |