NPI | 1578932455 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ID 4149) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 104731) |
225100000X Physical Therapist (Licence: NY 039488) | |
Enumeration Date | 2015-09-21 |
Last Update Date | 2020-10-08 |