NPI | 1629376249 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1888) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 3046) |
Enumeration Date | 2011-03-06 |
Last Update Date | 2016-08-22 |