NPI | 1386296085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 24751) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PTO27810) |
Enumeration Date | 2019-07-12 |
Last Update Date | 2020-03-26 |