NPI | 1427325216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207187) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA CP042331T) |
225100000X Physical Therapist (Licence: AZ LPT-011153) | |
Enumeration Date | 2011-11-21 |
Last Update Date | 2025-02-21 |