NPI | 1407117708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 4340) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033155-1) |
Enumeration Date | 2012-06-04 |
Last Update Date | 2020-07-24 |