NPI | 1881325637 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0019823) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA pu61318168) |
Enumeration Date | 2022-06-22 |
Last Update Date | 2024-05-29 |