NPI | 1710954250 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 017311) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 19415) |
Enumeration Date | 2006-03-03 |
Last Update Date | 2007-10-16 |