NPI | 1427575208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12126) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 13291) |
Enumeration Date | 2017-08-23 |
Last Update Date | 2021-01-28 |