NPI | 1942207311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT14801) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60282951) |
Enumeration Date | 2005-06-30 |
Last Update Date | 2013-01-28 |