NPI | 1649692526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 038234) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20830) |
Enumeration Date | 2014-01-13 |
Last Update Date | 2019-12-10 |