NPI | 1609143213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207303) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT26509) |
Enumeration Date | 2011-11-27 |
Last Update Date | 2012-04-04 |