NPI | 1699047597 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212387) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 006003) |
Enumeration Date | 2012-02-08 |
Last Update Date | 2024-09-12 |