NPI | 1720058530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4769) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 40QA00746800) |
Enumeration Date | 2006-01-24 |
Last Update Date | 2009-05-15 |