NPI | 1578733754 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010466) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 6592) |
Enumeration Date | 2008-03-04 |
Last Update Date | 2024-08-19 |