NPI | 1770004756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT41414) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 041190) |
Enumeration Date | 2017-06-29 |
Last Update Date | 2024-03-05 |