NPI | 1891758603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0001328) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PTO05205L) |
Enumeration Date | 2006-04-11 |
Last Update Date | 2019-09-13 |