NPI | 1700021581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 028002) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 028002) |
Enumeration Date | 2008-12-09 |
Last Update Date | 2009-01-06 |