NPI | 1740553536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 036810-1) |
Additional Taxonomies | 225100000X Physical Therapist |
225100000X Physical Therapist (Licence: WA PT 60231278) | |
Enumeration Date | 2012-02-09 |
Last Update Date | 2019-02-07 |