NPI | 1578689279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 11124) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 8866) |
225100000X Physical Therapist (Licence: MO 2003029328) | |
Enumeration Date | 2007-03-22 |
Last Update Date | 2025-05-29 |