NPI | 1790531085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 14003759-2401) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0018389) |
Enumeration Date | 2024-04-26 |
Last Update Date | 2025-01-14 |