NPI | 1558485920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1196173) |
Additional Taxonomies | 171W00000X Contractor (Licence: NY 027697) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2017-02-16 |