NPI | 1942679774 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23494) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1235271) |
Enumeration Date | 2015-09-22 |
Last Update Date | 2015-09-22 |