NPI | 1639434830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070018061) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0325281) |
Enumeration Date | 2012-07-13 |
Last Update Date | 2012-07-13 |