NPI | 1528314044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305207471) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207471) |
Enumeration Date | 2012-08-02 |
Last Update Date | 2014-08-06 |