NPI | 1396293619 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 292026) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL 0013581) |
225100000X Physical Therapist (Licence: TX 1266381) | |
225100000X Physical Therapist (Licence: IL 070021878) | |
Enumeration Date | 2016-09-15 |
Last Update Date | 2016-12-13 |