NPI | 1205474335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 043428) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 63207) |
225100000X Physical Therapist (Licence: NM PT5363) | |
225100000X Physical Therapist (Licence: MA 23944) | |
Enumeration Date | 2019-12-19 |
Last Update Date | 2019-12-19 |