NPI | 1396942330 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 7566) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 7509) |
225100000X Physical Therapist (Licence: MO 2002003815) | |
Enumeration Date | 2007-07-02 |
Last Update Date | 2007-07-08 |