NPI | 1063723583 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 23976) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6402) |
225100000X Physical Therapist (Licence: CA 30329) | |
225100000X Physical Therapist (Licence: NY 025997-1) | |
Enumeration Date | 2010-06-30 |
Last Update Date | 2010-06-30 |