NPI | 1205476025 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 043342) |
Additional Taxonomies | 2251N0400X Physical Therapist, Neurology |
225100000X Physical Therapist (Licence: NM 043342) | |
Enumeration Date | 2020-01-09 |
Last Update Date | 2020-01-09 |