NPI | 1457410573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 007696-1) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 008007) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2019-07-17 |