NPI | 1467230946 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP035087T) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 12043) |
225100000X Physical Therapist | |
225100000X Physical Therapist (Licence: GA CP024951T) | |
Enumeration Date | 2023-09-18 |
Last Update Date | 2024-11-27 |