NPI | 1275769788 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 26074) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 010824-1) |
Enumeration Date | 2009-06-10 |
Last Update Date | 2024-03-12 |