NPI | 1730396235 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501009519) |
Additional Taxonomies | 174400000X Specialist (Licence: MI 551009519) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2018-05-24 |