NPI | 1649794223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 043623) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 293116) |
225100000X Physical Therapist (Licence: CT 011386) | |
Enumeration Date | 2017-07-26 |
Last Update Date | 2021-04-09 |