NPI | 1841283777 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00008508) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1231463) |
Enumeration Date | 2005-08-25 |
Last Update Date | 2014-01-23 |