NPI | 1609343326 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33829) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0015980) |
Enumeration Date | 2018-10-31 |
Last Update Date | 2023-08-01 |