NPI | 1699805358 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: GA 007232) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT16275) |
2251X0800X Physical Therapist, Orthopedic (Licence: UT 7427425-2401) | |
Enumeration Date | 2007-03-06 |
Last Update Date | 2015-12-01 |