NPI | 1790234920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4144) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22158) |
Enumeration Date | 2016-09-29 |
Last Update Date | 2016-09-29 |