NPI | 1578116026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DC 2305212824) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA PT872449) |
Enumeration Date | 2019-07-23 |
Last Update Date | 2019-07-23 |