NPI | 1821465303 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9595) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 1216424) |
Enumeration Date | 2015-08-31 |
Last Update Date | 2015-08-31 |