NPI | 1639299191 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 8965) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 006651) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2025-09-11 |