NPI | 1962048637 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212349) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT-5243-0) |
225100000X Physical Therapist (Licence: CA 303968) | |
Enumeration Date | 2019-11-18 |
Last Update Date | 2025-08-15 |