NPI | 1316469042 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212630) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26749) |
225100000X Physical Therapist (Licence: NY 42301) | |
Enumeration Date | 2017-07-14 |
Last Update Date | 2024-11-25 |