NPI | 1487816401 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 008121) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 16302) |
225100000X Physical Therapist (Licence: MN 11443) | |
225100000X Physical Therapist (Licence: WI 15697-024) | |
225100000X Physical Therapist (Licence: SD 2280) | |
Enumeration Date | 2008-07-01 |
Last Update Date | 2022-03-30 |