NPI | 1386156149 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501019534) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 007286) |
Enumeration Date | 2017-11-01 |
Last Update Date | 2022-07-08 |