NPI | 1861048472 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT872599) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD 25890) |
Enumeration Date | 2019-08-11 |
Last Update Date | 2024-10-11 |