NPI | 1508041369 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 030106) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 3302) |
Enumeration Date | 2007-12-28 |
Last Update Date | 2009-04-21 |