NPI | 1568100311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: TX 1294122) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1294122) |
Enumeration Date | 2022-05-23 |
Last Update Date | 2022-06-09 |