NPI | 1811472319 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501018763) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MI 5501018763) |
Enumeration Date | 2018-10-01 |
Last Update Date | 2021-05-14 |