NPI | 1578255493 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 051310) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 304083) |
Enumeration Date | 2023-05-22 |
Last Update Date | 2024-01-15 |