NPI | 1407071715 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 011165-1) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 017643-1) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2014-08-20 |