NPI | 1962888495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305211720) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT872732) |
225100000X Physical Therapist (Licence: MD 25603) | |
Enumeration Date | 2015-08-06 |
Last Update Date | 2022-04-12 |