NPI | 1619529195 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 22692) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT027666) |
Enumeration Date | 2019-07-15 |
Last Update Date | 2019-07-25 |