NPI | 1629466289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501015453) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0012557) |
Enumeration Date | 2015-01-06 |
Last Update Date | 2021-03-24 |