NPI | 1619927357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 008908) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 001124) |
225100000X Physical Therapist (Licence: OH 06214) | |
Enumeration Date | 2006-05-11 |
Last Update Date | 2019-04-03 |