NPI | 1932645298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305211829) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P15812) |
Enumeration Date | 2017-01-11 |
Last Update Date | 2019-06-24 |