NPI | 1982931085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209739) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 40187) |
225100000X Physical Therapist (Licence: FL 25113) | |
Enumeration Date | 2009-11-10 |
Last Update Date | 2015-08-12 |