NPI | 1396385720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212310) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 9127) |
Enumeration Date | 2020-01-14 |
Last Update Date | 2020-01-14 |