NPI | 1225431786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 037823-1) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: NY 037823-01) |
Enumeration Date | 2014-09-29 |
Last Update Date | 2020-07-27 |