NPI | 1831652015 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT029385) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 34453) |
Enumeration Date | 2019-04-13 |
Last Update Date | 2021-05-20 |