NPI | 1619270162 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 032966) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 00517) |
Enumeration Date | 2010-12-06 |
Last Update Date | 2010-12-06 |