NPI | 1447442850 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: PA PT017860) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037488) |
Enumeration Date | 2007-08-10 |
Last Update Date | 2014-03-06 |