NPI | 1487066346 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305210183) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60482703) |
225100000X Physical Therapist (Licence: LA 09021R) | |
Enumeration Date | 2014-05-27 |
Last Update Date | 2018-04-16 |