NPI | 1801361233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22089) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043268) |
Enumeration Date | 2018-10-12 |
Last Update Date | 2024-05-13 |