NPI | 1780304857 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP035594T) |
Additional Taxonomies | 225100000X Physical Therapist |
225100000X Physical Therapist (Licence: MD 29173) | |
225100000X Physical Therapist (Licence: PA PT032388) | |
Enumeration Date | 2022-08-30 |
Last Update Date | 2024-11-27 |