NPI | 1801263835 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27363) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207244) |
Enumeration Date | 2015-08-25 |
Last Update Date | 2021-12-16 |