NPI | 1619459609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 10053) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 040303) |
Enumeration Date | 2018-09-05 |
Last Update Date | 2018-09-05 |