NPI | 1487484812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305216614) |
Enumeration Date | 2024-08-01 |
Last Update Date | 2025-03-11 |