NPI | 1568905784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 33429) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT-4263) |
225100000X Physical Therapist (Licence: LA 08916) | |
Enumeration Date | 2016-11-19 |
Last Update Date | 2021-10-28 |