NPI | 1437455193 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: NY 032628-1) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PT013666) |
Enumeration Date | 2011-01-28 |
Last Update Date | 2019-10-31 |