NPI | 1275294266 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 048323) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 030670) |
Enumeration Date | 2022-01-03 |
Last Update Date | 2022-02-06 |