NPI | 1972160356 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT34562) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT18823) |
Enumeration Date | 2019-05-21 |
Last Update Date | 2023-06-22 |