NPI | 1851491914 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305005462) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT-010620-L) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2023-07-24 |