NPI | 1619169794 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 8896) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 27050) |
Enumeration Date | 2007-08-13 |
Last Update Date | 2018-07-09 |