NPI | 1417359993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT023825) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1281828) |
Enumeration Date | 2014-09-16 |
Last Update Date | 2021-04-30 |