NPI | 1720374846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2012009165) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT019382) |
Enumeration Date | 2011-06-27 |
Last Update Date | 2012-07-30 |