NPI | 1740704592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 301985) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 039479-1) |
Enumeration Date | 2017-08-02 |
Last Update Date | 2023-03-21 |