NPI | 1710013891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 62 028687) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17142) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2009-12-31 |