NPI | 1760851034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 12414) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 21838) |
Enumeration Date | 2015-09-17 |
Last Update Date | 2019-09-06 |