NPI | 1649490095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 22420) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21535) |
225100000X Physical Therapist (Licence: NY 5529209) | |
Enumeration Date | 2007-04-26 |
Last Update Date | 2016-06-24 |