NPI | 1396025623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 009166) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 030761) |
225100000X Physical Therapist (Licence: MA 18147) | |
Enumeration Date | 2011-08-17 |
Last Update Date | 2011-08-17 |