NPI | 1689116949 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 11563) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22744) |
Enumeration Date | 2016-11-17 |
Last Update Date | 2022-07-21 |