NPI | 1851584726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: TX 1111342) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 007742) |
225100000X Physical Therapist (Licence: OR 61470) | |
Enumeration Date | 2007-08-23 |
Last Update Date | 2024-05-14 |