NPI | 1891082897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 033493-1) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01183300) |
Enumeration Date | 2011-06-29 |
Last Update Date | 2012-04-25 |