NPI | 1629790530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216089) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 302423) |
Enumeration Date | 2022-09-16 |
Last Update Date | 2024-08-15 |