NPI | 1609368992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501016194) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2018-06-01 |
Last Update Date | 2018-06-01 |