NPI | 1689972697 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 021129) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 002919) |
Enumeration Date | 2011-03-01 |
Last Update Date | 2011-04-12 |