NPI | 1962591040 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO 8632) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 8632) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2011-05-25 |