NPI | 1275052292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013071) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 045698) |
Enumeration Date | 2017-09-11 |
Last Update Date | 2025-09-30 |