NPI | 1720729742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 29668) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 303735) |
225100000X Physical Therapist (Licence: MD CP011339T) | |
Enumeration Date | 2022-04-05 |
Last Update Date | 2025-05-08 |