NPI | 1104229756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY P94772) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY P94772) |
Enumeration Date | 2014-09-26 |
Last Update Date | 2016-08-03 |