NPI | 1952945347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1052041) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: TX 1052041) |
Enumeration Date | 2019-10-29 |
Last Update Date | 2021-06-24 |