NPI | 1659782696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28366) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1181833) |
225100000X Physical Therapist (Licence: NC P16710) | |
Enumeration Date | 2014-05-13 |
Last Update Date | 2024-10-22 |