NPI | 1538859764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305215671) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305215671) |
Enumeration Date | 2023-05-10 |
Last Update Date | 2024-10-29 |