NPI | 1972970366 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT871883) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL3192) |
Enumeration Date | 2015-09-01 |
Last Update Date | 2017-07-20 |