NPI | 1528181021 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 16168) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT16231) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2007-07-08 |