NPI | 1649086083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP038666T) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1402486) |
Enumeration Date | 2024-12-10 |
Last Update Date | 2025-04-07 |