NPI | 1861931842 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA PT015004) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210874) |
225100000X Physical Therapist (Licence: NC P20510) | |
Enumeration Date | 2017-02-23 |
Last Update Date | 2023-08-31 |