NPI | 1902228539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501019536) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1216392) |
Enumeration Date | 2014-01-16 |
Last Update Date | 2020-06-17 |