NPI | 1639111719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305210959) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 2471) |
225100000X Physical Therapist (Licence: HI 2625) | |
Enumeration Date | 2006-06-12 |
Last Update Date | 2023-05-19 |