NPI | 1518690569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT030788) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2022-07-07 |
Last Update Date | 2022-09-27 |