NPI | 1578043964 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 24041) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305212666) |
225100000X Physical Therapist (Licence: SC 9695) | |
225100000X Physical Therapist (Licence: TX 1310450) | |
Enumeration Date | 2018-08-15 |
Last Update Date | 2021-10-13 |