NPI | 1083369920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 041248) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 011372) |
Enumeration Date | 2022-02-18 |
Last Update Date | 2023-08-11 |