NPI | 1740499458 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MT 525) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MT 525PT) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2019-09-30 |