NPI | 1407460405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 050295) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 191429) |
225100000X Physical Therapist (Licence: TX 1338190) | |
Enumeration Date | 2020-09-07 |
Last Update Date | 2023-07-28 |