NPI | 1407472269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 100024) |
Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic |
Enumeration Date | 2020-06-17 |
Last Update Date | 2023-07-26 |