NPI | 1609245596 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 15739) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2012027638) |
Enumeration Date | 2015-09-21 |
Last Update Date | 2015-09-21 |