NPI | 1801550207 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61475056) |
Additional Taxonomies | 225100000X Physical Therapist |
225100000X Physical Therapist (Licence: TN 13869) | |
Enumeration Date | 2021-10-22 |
Last Update Date | 2024-11-17 |