NPI | 1649525007 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT871142) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23884) |
Enumeration Date | 2012-07-20 |
Last Update Date | 2012-07-20 |