NPI | 1548640907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 09766R) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH 4837) |
Enumeration Date | 2015-06-01 |
Last Update Date | 2024-08-15 |