NPI | 1679801682 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 031046-1) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 26162) |
Enumeration Date | 2009-12-02 |
Last Update Date | 2011-01-20 |