NPI | 1578084224 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305212075) |
Additional Taxonomies | 225100000X Physical Therapist |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-07-03 |
Last Update Date | 2023-04-27 |