NPI | 1407033368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 3058) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 029162-1) |
225100000X Physical Therapist (Licence: TX 1172446) | |
225100000X Physical Therapist (Licence: PA PT020450) | |
Enumeration Date | 2008-01-23 |
Last Update Date | 2010-11-08 |