NPI | 1255629341 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28655) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 013709-1) |
Enumeration Date | 2011-07-11 |
Last Update Date | 2022-01-11 |