NPI | 1861953382 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 043185) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043185) |
Enumeration Date | 2019-03-27 |
Last Update Date | 2022-12-17 |