NPI | 1740835958 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0020041) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 27498) |
225100000X Physical Therapist (Licence: NY 044922) | |
Enumeration Date | 2019-08-05 |
Last Update Date | 2024-10-16 |