NPI | 1568247021 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: LA CP037112T) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH12014) |
225100000X Physical Therapist (Licence: KY 008013) | |
Enumeration Date | 2023-08-31 |
Last Update Date | 2024-12-20 |