NPI | 1568750123 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1189831) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 2271) |
225100000X Physical Therapist (Licence: FL PT25051) | |
225100000X Physical Therapist (Licence: MO 2009019568) | |
Enumeration Date | 2011-07-18 |
Last Update Date | 2012-01-25 |