NPI | 1063762474 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207564) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035055-1) |
Enumeration Date | 2012-09-12 |
Last Update Date | 2016-05-23 |