NPI | 1831635796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013861) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22779) |
Enumeration Date | 2017-01-16 |
Last Update Date | 2019-02-20 |