NPI | 1750712352 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35466) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P23032) |
225100000X Physical Therapist (Licence: NY 037020) | |
Enumeration Date | 2013-12-06 |
Last Update Date | 2024-07-18 |