NPI | 1063412831 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CT CT02654) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY NY2561352) |
Enumeration Date | 2005-07-22 |
Last Update Date | 2011-12-30 |