NPI | 1972899763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207352) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23670) |
225100000X Physical Therapist (Licence: DC 871780) | |
Enumeration Date | 2011-06-21 |
Last Update Date | 2024-01-03 |