NPI | 1417242066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J10000386) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT004012L) |
Enumeration Date | 2011-06-11 |
Last Update Date | 2011-06-11 |