NPI | 1487088506 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 31430) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AZ 10295A) |
Enumeration Date | 2013-08-26 |
Last Update Date | 2020-11-13 |