NPI | 1568989523 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA PT60511940) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60511940) |
Enumeration Date | 2017-08-29 |
Last Update Date | 2018-05-16 |