NPI | 1649656141 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 21834) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 21834) |
Enumeration Date | 2015-08-06 |
Last Update Date | 2024-11-07 |