NPI | 1487768537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 0400072387) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 2540) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2015-05-27 |