NPI | 1366935082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501016983) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MI 5501016983) |
Enumeration Date | 2018-06-07 |
Last Update Date | 2018-06-07 |