NPI | 1689790313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 126421) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 0170151) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2010-01-26 |