NPI | 1649609140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 13940) |
Additional Taxonomies | 225100000X Physical Therapist |
225100000X Physical Therapist (Licence: MA 20637) | |
Enumeration Date | 2013-11-05 |
Last Update Date | 2021-11-16 |