NPI | 1386779007 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VT 040-0000912) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VT 104-0000008) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2007-07-08 |