NPI | 1376739821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 7771) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 12207) |
Enumeration Date | 2007-09-19 |
Last Update Date | 2020-08-20 |