NPI | 1285392266 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 048332) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 048231) |
Enumeration Date | 2021-12-07 |
Last Update Date | 2021-12-07 |