NPI | 1780805580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL-10761) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 024964) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2016-08-17 |