NPI | 1366528218 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11607) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 0074061) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2024-09-12 |