NPI | 1942326756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 8800) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT01513) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2007-07-08 |