NPI | 1649365800 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 03142) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-012082) |
225100000X Physical Therapist (Licence: WI 15112-24) | |
Enumeration Date | 2006-10-04 |
Last Update Date | 2024-02-13 |