NPI | 1255927091 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216840) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 046643) |
Enumeration Date | 2020-12-16 |
Last Update Date | 2024-11-25 |