NPI | 1982950820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1317418) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT37944) |
Enumeration Date | 2012-07-30 |
Last Update Date | 2025-04-07 |