NPI | 1720205164 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: NC 5987) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 5987) |
2251C2600X (Licence: NC 5987) | |
2251X0800X Physical Therapist, Orthopedic (Licence: NC 5987) | |
Enumeration Date | 2007-04-19 |
Last Update Date | 2007-09-13 |