NPI | 1831575323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 3769) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 25012) |
225100000X Physical Therapist (Licence: HI 4028) | |
225100000X Physical Therapist (Licence: CO 13495) | |
Enumeration Date | 2015-08-06 |
Last Update Date | 2018-07-17 |