NPI | 1518013770 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305205720) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 0402) |
Enumeration Date | 2007-01-28 |
Last Update Date | 2008-11-19 |