NPI | 1902157845 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1214640) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23988) |
Enumeration Date | 2012-10-01 |
Last Update Date | 2022-07-25 |