NPI | 1437987765 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ CP049113T) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD 30054) |
Enumeration Date | 2024-07-26 |
Last Update Date | 2025-08-28 |