NPI | 1902060023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC PT12208) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT24135) |
Enumeration Date | 2008-07-17 |
Last Update Date | 2010-07-12 |