NPI | 1972795490 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP021985T) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1158050) |
Enumeration Date | 2007-08-17 |
Last Update Date | 2024-04-24 |