NPI | 1700961851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 63611) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 1607) |
Enumeration Date | 2006-10-26 |
Last Update Date | 2023-05-22 |