NPI | 1992219356 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12601) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60812630) |
225100000X Physical Therapist (Licence: OR 62887) | |
Enumeration Date | 2017-11-21 |
Last Update Date | 2024-10-28 |