NPI | 1841663853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT5223) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT35389) |
225100000X Physical Therapist (Licence: CO PTL.0013246) | |
Enumeration Date | 2015-11-12 |
Last Update Date | 2019-12-31 |