NPI | 1376728725 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 10196) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 029846) |
Enumeration Date | 2008-01-04 |
Last Update Date | 2022-02-09 |