NPI | 1376838433 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305208434) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 13158) |
Enumeration Date | 2011-06-16 |
Last Update Date | 2019-06-18 |