NPI | 1659747707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1263838) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 1263838) |
Enumeration Date | 2015-08-12 |
Last Update Date | 2023-12-01 |