NPI | 1750057493 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: PA PT019222) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT004242) |
Enumeration Date | 2021-08-23 |
Last Update Date | 2021-08-30 |