NPI | 1497031082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 292693) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070019470) |
225100000X Physical Therapist (Licence: MI 5501015084) | |
225100000X Physical Therapist (Licence: IN 05010273A) | |
Enumeration Date | 2011-10-26 |
Last Update Date | 2019-12-31 |