NPI | 1952007973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1302368) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 5229) |
Enumeration Date | 2023-02-01 |
Last Update Date | 2023-02-01 |