NPI | 1447374632 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 19791) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 19791) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2007-07-08 |