NPI | 1528156825 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 1150R) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: LA 1150) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2008-08-06 |