NPI | 1457378267 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MO 2011030932) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MO 2004035258) |
Enumeration Date | 2006-07-16 |
Last Update Date | 2012-07-17 |