NPI | 1902468119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 24319) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043290) |
Enumeration Date | 2019-07-08 |
Last Update Date | 2019-09-26 |