NPI | 1992338107 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 028422) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 004187) |
Enumeration Date | 2020-02-16 |
Last Update Date | 2020-02-17 |