NPI | 1326627464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36823) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034982-01) |
Enumeration Date | 2021-04-06 |
Last Update Date | 2021-04-06 |