NPI | 1124385653 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 4101) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034605) |
Enumeration Date | 2012-04-22 |
Last Update Date | 2012-04-22 |