NPI | 1760413561 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: OK 2776) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 2776) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2019-12-13 |