NPI | 1497129738 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11604) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
225100000X Physical Therapist | |
Enumeration Date | 2015-11-24 |
Last Update Date | 2022-12-21 |