NPI | 1457736357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2011019286) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-05014) |
Enumeration Date | 2015-07-21 |
Last Update Date | 2015-07-21 |