NPI | 1922512219 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60939785) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 10979) |
Enumeration Date | 2017-11-22 |
Last Update Date | 2019-04-23 |