NPI | 1922193291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT20388) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT 20388) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2021-09-22 |