NPI | 1588217855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0018296) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT5469) |
225100000X Physical Therapist (Licence: OH PT017240) | |
Enumeration Date | 2019-07-16 |
Last Update Date | 2022-07-12 |