NPI | 1922381102 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2010039345) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-04231) |
Enumeration Date | 2011-09-23 |
Last Update Date | 2011-09-23 |