NPI | 1457845661 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 17636) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23635) |
Enumeration Date | 2018-06-20 |
Last Update Date | 2021-07-23 |