NPI | 1588895031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 02212) |
Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: MO 02212) |
Enumeration Date | 2009-07-31 |
Last Update Date | 2020-05-15 |