NPI | 1134643042 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT39249) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 042237-1) |
Enumeration Date | 2017-08-01 |
Last Update Date | 2022-12-07 |