NPI | 1447639117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30488) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1259537) |
Enumeration Date | 2015-05-27 |
Last Update Date | 2015-07-13 |